| NPI | 1891352019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGOR DAVIDAGAYAN CEO 626-786-6927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |